集束化护理在主动脉球囊反搏治疗中的应用

Application of cluster nursing in the treatment of intra-aortic balloon counterpulsation

目的探讨集束化护理在主动脉球囊反搏治疗中的应用效果。方法选取CCU应用主动脉球囊反搏治疗的患者240例，按照随机数字表法分为对照组和试验组，每组120例。对照组采取常规护理措施；试验组进行集柬化护理，内容包括加强风险评估、完善基础护理、正确给予抗凝治疗、拔管时的配合及心理护理。观察两组患者的并发症情况及平均住院时间。结果试验组患者并发症总体发生率为10．0％，低于对照组的20．8％，差异有统计学意义（x2=5．40，P〈0．05）；平均住院时间为（10．55±2．19）d，少于对照组的（17．65±2．21）d，差异有统计学意义（t=-10．217，P〈0．05）。结论在主动脉球囊反搏治疗中应用集束化护理能有效减少患者并发症的发生，缩短患者在CCU的住院时间，对提高医疗及护理质量有积极的意义。

Objective To explore the application effect of cluster nursing in the treatment of intra-aortic balloon counter pulsation. Methods Two hundred and forty patients with the treatment of intra-aortic balloon counter pulsation in CCU were chosen and divided into the observation group and the control group according to random number table, each with 120 cases. The control group received the routine nursing, and the observation group received the cluster nursing including strengthening risk evaluation, improving basic nursing, proper anticoagulant therapy, cooperation nursing and psychological nursing of extubation. The complications and average hospitalization time in patients of the two groups were observed. Results The overall incidence rate of complications in the observation group was 10.0%, and were lower than 20.8% in the control group, and the difference was statistically significant （ X2 = 5.40, P 〈 0. 05 ）. The average length of hospital stays was （ 10.55 ＋ 2.19） d in the observation group, and was less than （ 17.65 ± 2.21 ） d in the control gwup, and the difference was statistically significant （t = - 10. 217, P 〈 0.05）. Conclusions Application of cluster nursing in the treatment of intra - aortic balloon counter pulsation can effectively reduce the incidence of complications, and shorted the hospital stays in CCU, and has a positive significance to improve the quality of medical and nursing.